Internists can diagnose chronic abdominal wall pain with a simple physical exam and
some savvy history taking, experts said, and reassure patients that their condition
is not serious and may respond to treatment.

When caring for patients who have been released from prison, internists must consider
the economic and social obstacles that can impact the plan of care, as well as the
difficulty of coordinating with jails and prisons and obtaining patients' medical
records.

ACP's awards, though not always instrumental in propelling a recipient's career, can
inspire, validate, and assure the recipients that their hard work will not go unnoticed,
and that they are on the right track.

A 55-year-old man is evaluated for a 6-week history of blisters on his hands. The
blisters are tender, break easily after they develop, and occur in different regions
on the backs of his hands. Medical history is notable for alcoholic liver disease.
The patient does not use tobacco but drinks 6 beers daily. He takes no medications.
Following a physical exam, what is the most likely diagnosis?

Internal medicine physicians are specialists who apply scientific knowledge and clinical expertise to the diagnosis, treatment, and compassionate care of adults across the spectrum from health to complex illness. ACP Internist provides news and information for internists about the practice of medicine and reports on the policies, products and activities of ACP. All published material, which is covered by copyright, represents the views of the contributor and does not reflect the opinion of the American College of Physicians or any other institution unless clearly stated.